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The Queen of Nacho Pichu appears in the "Elmo: The Musical" segment, "Guacamole the Musical."
She meets Chef Explorer Elmo and explains that she has a large tortilla chip, but wishes to liven up the taste and asks him to find a suitable dip for it. Otherwise, she will unleash the royal skunk on him. Elmo returns with some guacamole, which she adores and everyone does a guacamole dance in celebration.